Win or lose, nighttime transcystic laparoscopic common bile duct exploration is a win

Article Figures & Data

Table 1

Demographic characteristics of all patients who underwent LC+LCBDE and ERCP followed by LC (ERCP+LC)

Variable	LC+LCBDE	ERCP+LC	P value
Age (years)	51 (27–66)	58 (32–75)	0.11
Female	62%	64%	0.84
BMI (kg/m²)	31 (27–37)	30 (27–36)	0.6
AST (IU/L)	119 (54–236)	59 (32–88)	<0.01
ALT (IU/L)	130 (64–311)	139 (84–262)	0.87
Alk Phos (U/L)	133 (91–171)	132 (95–158)	0.98
T Bili (mg/dL)	1.5 (0.9–2.7)	1.2 (0.8–1.9)	0.33
Preoperative diagnosis (%)			<0.01
Cholecystitis	45	2
Choledocholithiasis	30	68
Preoperative symptomatic cholelithiasis	7	2
Gallstone pancreatitis	15	28
Other diagnosis	3	0
Duration of operation (hours)	2.8 (2.3–3.3)	2.0 (1.5–2.4)	<0.01
Length of stay (hours)	48 (33–72)	86 (70–110)	<0.01
Nighttime surgery	42%	N/A	N/A
Successful bile duct exploration	70%	N/A	N/A

Data presented as median and IQR.
Alk Phos, alkaline phosphatase; ALT, alanine transaminase; AST, aspartate transaminase; BMI, body mass index; ERCP, endoscopic retrograde cholangiopancreatography; LC+LCBDE, laparoscopic cholecystectomy with laparoscopic common bile duct exploration; T Bili, total bilirubin.

Table 2

Comparison of LC+LCBDE during the daytime and nighttime

Variable	Daytime LC+LCBDE	Nighttime LC+LCBDE	P value
Age (years)	55 (31–70)	45 (25–63)	0.21
Female	63%	60%	>0.99
BMI (kg/m²)	29 (26–36)	34 (29–38)	0.03
AST (IU/L)	89 (36–205)	191 (60–328)	0.09
ALT (IU/L)	113 (38–212)	282 (80–503)	0.03
Alk Phos (U/L)	123 (90–167)	149 (95–210)	0.32
T Bili (mg/dL)	1.4 (0.9–2.4)	1.7 (0.9–3.6)	0.14
Preoperative diagnosis (%)			0.11
Cholecystitis	49	40
Choledocholithiasis	29	32
Preoperative symptomatic cholelithiasis	6	8
Gallstone pancreatitis	14	4
Other diagnosis	2	0
Duration of operation (hours)	2.8 (2.2–3.3)	2.8 (2.3–3.2)	0.88
Length of stay (hours)	59 (38–96)	44 (28–59)	0.03
Successful bile duct exploration	71%	68%	0.78

Rates of successful clearance of the bile duct were the same between groups. Length of stay was significantly shorter for LC+LCBDE performed at night. Data presented as median and IQR.
Alk Phos, alkaline phosphatase; ALT, alanine transaminase; AST, aspartate transaminase; BMI, body mass index; LC+LCBDE, laparoscopic cholecystectomy with laparoscopic common bile duct exploration; T Bili, total bilirubin.